Application form



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APPLICATION FORM

Nomination for Vessel:

DP-3, DP-2 Pipe Lay/Heavy Lift/Drilling Vessels





Position applied for:

Chief Engineer / http://www.linkedin.com/volodymyr-musatenko

Availability:

28 Sep 2017

Religion

Christian

Full Name:

Volodymyr Musatenko

Nearest Airport:

Odessa

Date of birth

28.08.1978

Nationality:

Ukraine

Place of birth:

Ukraine, Odessa

Size of Shoes:

43

Height / Weight:

174 / 78

Size of coverall

XXL

Address, phone: 52/1, Akademika Vilyamsa street, apt. 5; Post code: 65113; Odessa/Ukraine

Mob. phone: +380683084282; E-mail: volodymyr.musatenko@gmail.com



Travel Documents:

Documents

Number

Date Issue

Place Issued

Valid Until

Travel Passport

ES505832

14.11.2014

Odessa/Ukraine

14.11.2024

Seaman's Book

AB 529550

06.08.2014

Odessa/Ukraine

06.08.2019

CoC & Endorsements:

Documents

Grade

Number

Date Issue

Place Issued

Valid Until

Certificate of Competency

Chief Engineer Officer on ships powered by main propulsion machinery of

3000 kW prop power or more – Unlimited / STCW III/2



10731/2016/01

23.03.2016

Izmail/Ukraine

--------

Endorsement

10731/2016/01

23.03.2016

Izmail/Ukraine

23.03.2021

Endorsement, Gibraltar




























Education:

Academic Qualification

From

To

Award Level

Degree

Odessa Maritime College of Technical Fleet (OMCTF)

1993

1997

Marine Engineer

Bachelor

Knowledge of Language’s:

English / Ukraine / Russian

DP Certificate:

DP System Maintenance

Operate & Maintenance

DP System

0043/2010

15.09.2010

OMTC Odessa

--------

DP Logbook, IMCA




№ 7542

13.02.2006

UK / London

-------

STCW 78*95 & other Certificates:




Number

Date Issue

Place Issued

Valid until

FOET – OPITO appr, EBS & HUET, FIFI & Self Rescue, Hypothermia and Travel Safety by Boat

131158083110161223

10.31.2016

OMTC / Ukraine

10.30.2020

H2S - OPITO approved

14439014270815003

27.08.2015

OMTC / Ukraine

26.08.2017

Basic safety, STCW 78/95

634

26.02.2016

IMTC / Ukraine

26.02.2021

Survival craft & survival techniques

0965/2011

22.02.2016

IMTC / Ukraine

22.02.2021

Advanced Fire Fighting

0771/2011

23.02.2016

IMTC / Ukraine

23.02.2021

Medical First AID on Board Ship

0460/2011

25.02.2016

IMTC / Ukraine

25.02.2021

Maintenance of Electrical Electronic Engineering

0786/2003

10.09.2003

OMTC / Ukraine

--------

High Voltage Electrical Equipment

0172/2015

27.08.2015

OMTC / Ukraine

27.08.2020

Engine team and resource Management

0789/2015

21.08.2015

OMTC / Ukraine

21.08.2020

Security Awareness Training

2104/2014

20.02.2014

OMTC / Ukraine

20.02.2019

ISF Marlins English Test - Total Score 95%

33A1B346BB93BDCE0004

04.04.2013

OMTC / Ukraine

--------

CES 4.1 Test -Competence Evaluation System

Total Score 86%

26.08.2015

OMTC / Ukraine

--------

Health Book / Vaccination:

UKOOA Medical Examination

401625

09.08.2017

Ukraine /Almed ltd

09.08.2019

Medical Examination Certificate

401533

09.08.2017

Ukraine/Almed ltd

09.08.2018

Drug & Alcohol Test Report

408801

09.08.2017

Ukraine/Almed ltd

09.08.2018

Vaccination : Yellow fever

-

12.02.2014

Odessa/Ukraine

12.02.2024

Next of Kin:

Name / Relationship

Address

E-mail

Telephone No

Oksana Musatenko / Wife

52/1, Ak. Vilyamsa street, apt.5; Odessa/Ukraine

oksastar@yandex.ru

+380965343060




Children Details

Name

Date of Birth

Sex

1

Daniela Musatenko

13 July 1999

Female

2

Viktoria Musatenko

27 Dec 2011

Female


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